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The Generations Project was established in 2001 to call attention to the dilemma facing Hoosiers with long term health care needs. A collaborative effort of leading consumer based organizations, The Project seeks to educate citizens, advocates, and policy makers about the opportunities for Hoosiers to implement a balanced and responsible long term care system.

May 2016

Click on the link below to read the Washington Post Article:

Study: Costs for most long-term care keep climbing

November 2015

Low Wages Hurt the Quality of Home Health Care

Reader’s Note: The following letter from the TGP board was sent to daily newspapers throughout the state of Indiana in November 2015 regarding home care quality, poverty, and wages.

Dear Reader:

With the conclusion of the municipal election season now is an opportune time to look at one of the most pressing issues facing Indiana and its citizens. The issue is low wages and home health care.

Low wages and the lack of benefits clearly put the squeeze on working parents and their families.

Breadwinners who earn low wages must deal each day with the consequences of not having the money needed to properly house, clothe, feed, educate and protect family members. Low wages force individuals and families to take shortcuts. Being hungry, poorly dressed, and living in a cold house puts everyone in the household in jeopardy. Living in such conditions increases the likelihood of being sick, of having workplace accidents, or doing poorly in school, of being a victim of crime, and enduring social humiliation.

Living without needed food, clothing, heat and appropriate care is exceptionally risky for children and the elderly. It is especially ironic when home health care workers are poorly paid. More often than not that is the case in Indiana and across too much of the United States.

Poorly paid home care workers that earn less than ten dollars an hour and working without benefits, are often forced to take two to three jobs to make ends meet. By so doing, they place their health in jeopardy and find it extremely difficult to care for their own families.

The lack of living wages and benefits for home care workers places the people they care for at-risk. That is because these conditions trigger the exceptionally high turnover rates among home care workers. High turnover means the persons receiving the care are also placed in jeopardy. Without reliable care people needing home care services are placed in harm’s way and even risk death.

For these reasons, The Generations Project will be working with the Indiana Home Care Task Force, SEIU Health Care, senior and disability advocacy groups, public officials and providers to address the critical threats created for persons needing home care when workers receive low pay and few benefits. These issues ultimately affect all Hoosiers and their quality of life. They merit our full attention and action.


Elmer Blankenship, Greg Server, Ann Latscha, Nancy Griffin and John Cardwell,

The Generations Project Board of Governors

November 6, 2015: WTHR News Report

Indianapolis woman says she's fighting not to be institutionalized, but clock is ticking


Karen Vaughn could be facing a life or death situation Saturday morning.

"I have coverage tonight," the 57-year-old said Friday night. "Then at 7 o-clock in the morning, the last nurse will go home," she explained from her motorized wheelchair inside her 5th floor apartment in downtown Indianapolis.

Click on the link below to read entire story:


June, 2015

Report on the 2015 Indiana General Assembly

By TGP Staff and Board Members

Indiana’s 2015 legislative session ended at midnight on April 29, ending a four month up and down ride that repeatedly veered between damaging controversy and honest compromise in the best interests of Hoosiers.

While the session will be long remembered for the world-wide condemnation that was prompted by Governor Mike Pence’s signing of the Religious Freedom Restoration Act (RFRA) in late March that was just one of the many divisive issues that were muscled through the State House. Lawmakers also ended the state’s common construction wage; enacted a moratorium on the construction of new nursing homes; reduced the power of the Superintendent of Public Instruction; and banned the use of RFRA as a tool for discrimination. The Generations Project and the Indiana Home Care Task Force (IHCTF) supported the nursing home moratorium legislation.

The $474 million in new elementary and high school funding pushes total K -12 state education spending to $16 billion, or 52 percent of Indiana $31billion two year state budget. The new budget period will begin on July 1, 2015. Most of the increase in education funding will go to growing suburban school districts as a result of changes to the school funding formula. Lawmakers also shortened the state take over timeline for failing schools to four years instead of six, while also permitting friendly takeovers of public schools by charter school operations.

The legislature settled on $80 million in new funding to help local governments deal with an influx of low-level offenders no longer going to the Indiana Department of Corrections. This money can be used for addiction and mental health treatment, probation services, in-home electronic monitoring and other local programs.

Full Funding for the CHOICE program, changes in the CHOICE board

Of particular interests to IHCTF members and supporters of The Generations Project, the General Assembly appropriated level funding for the CHOICE home care program. That amount totaled $48,765,643 per year and equaled the full funding level that had been advocated by the IHCTF and its individual and organizational members. The CHOICE appropriation was considered a major victory for senior citizens and persons with disabilities that need home and community based services. Of the dollars appropriated for CHOICE, up to $18 million per year can be used as the state’s share for the Medicaid aged and disabled (A&D) program waiver. The bulk of the dollars used for Medicaid A&D waiver services come from the federal government. The waiver funds in-home services that are similar to those provided through the CHOICE program.

The General Assembly took a series of actions that affect home and community based services in Indiana. The legislature passed the designation of caregiver for patients program. The legislature allowed a percentage of the spinal cord and brain injury fund to be used to provide funding for facilities, treatment, and services for spinal cord and brain injuries.

Unfortunately, the legislature also passed changes to the CHOICE board that eliminate specific age requirements for CHOICE board members and provided for staggered four year terms for board members. These changes in the CHOICE statute were authored by State Representative Ed Clere and create the possibility of people being appointed to the CHOICE board to represent seniors who are not seniors themselves. These changes to the CHOICE board were made at the last minute during the legislative process. Once they were discovered they were opposed by the IHCTF and The Generations Project.

Finally, the General Assembly also appropriated dollars to fund independent living services including seven local centers for independent living.

June 2015

Raise the Wage for Home Care Workers

The Generations Project is working with the Indiana Raise the Wage Coalition to enhance the public’s understanding of increasing the minimum wage, and all low wages and benefits among workers in Indiana.

John Cardwell and Nancy Griffin, members of the TGP governing board, have recently represented the project at Raise the Wage Coalition meetings.

Why is The Generations Project involved with the Raise the Wage Coalition?

Nancy Griffin has a quick and direct answer: “Raising wages and benefits for low income workers is critical to the health and wellbeing of people needing home and community based services. The turn-over among home care workers is very high and constant. That turn-over is a direct threat to the lives of people who depend on home care workers who are knowledgeable regarding their specific health care needs. People who use wheelchairs and other mobility devices, who are vent dependent, who have special dietary needs, who use meds that must be precisely administered, who face mental health and cognitive challenges, and so many other challenges in their daily lives, need home care and medical professionals that understand their specific care needs. They can ill afford to have unreliable home care services.”

However, the need to raise wages and benefits includes nursing home workers as well. June Holt, a former staff member for The Generations Project and the mom of an adult son with brain injury, has represented TGP at meetings with nursing home executives that were intended to improve the quality of care in those facilities. June has met significant resistance from the nursing home leaders to raising wages and benefits among their employees. She recently posted this comment on her Facebook page: “I have attended some of these (nursing home) improvement meetings in Indiana and have been treated with hostility when I suggested that they pay front line caregivers a living wage. So sad that it is more important to them that their executive directors are paid enough to drive luxury cars and that they think holding clothing drives for their aides or giving them leftover food is a good thing. This is not right.”

A number of organizations are playing a important roles in the Raise the Wage Coalition. They include SEIU Health Care, which is under the direction of Yin Min Kyi in Indiana. SEIU is a long term partner of The Generations Project and represents home health care workers and other direct care professionals. The coalition members also include the Indiana Alliance for Retired Americans under the leadership of Elmer Blankenship, and significant policy analysis assistance from Fran Quigley of the Health and Human Rights Clinic at the I.U. McKinney School of Law on the IUPUI campus.

Why We Have Joined the Raise the Wage Coalition

Raising the minimum wage is a crucial component to improving the lives of persons who need home health care and community based services.  The Generations Project ,  Hoosiers First and United Senior Action have joined the Raise the Wage coalition because too many home care and nursing home workers are grossly underpaid and forced to work with few viable benefits.  That leads to high rates of turnover among those workers…and that puts people who depend on them for their health, safety, dignity and freedom at risk.  Without a doubt economic justice and health justice in Indiana and throughout America are absolutely linked.  To our readers and supporters we ask them to join their fellow Hoosiers and Americans in calling for wages to be raised.  Raise the Wage!

Follow this link to find out more about the Raise the Wage Coalition





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